Wunderlich, Andrew Warren
Wunderlich, Andrew Warren is an individual health care provider with primary practice located at 2000 Glenwood Ave Suite 107, Joliet IL 60435-5676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wunderlich, Andrew Warren can be contacted via phone (815) 741-4445.Contact Information
Primary practice address
2000 Glenwood Ave Suite 107
Joliet IL 60435-5676
Phone: (815) 741-4445
Fax: (815) 741-3047
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036106187 | Illinois |
Profile Details
NPI number | 1275528341 |
---|---|
LBN Legal business name | Wunderlich, Andrew Warren |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 15th, 2005 |
Last updated | Aug 29th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275528341 | NPPES |
Illinois | MEDICAID | 036106187 |
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